Individual
LACY JO MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 W CHEMUNG ST STE 103, PAINTED POST, NY 14870-1300
(607) 973-2262
(607) 973-2347
Mailing address
126 W CHEMUNG ST STE 103, PAINTED POST, NY 14870-1300
(607) 973-2262
(607) 973-2347
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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